OrganizationActive
Renal Treatment Centers-Illinois Inc
NPI 1083678445 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Richfield, MN
Provider details
- NPI number
- 1083678445
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Samuel Wey, Vp, Licensure & Certification
Practice location
6601 Lyndale Ave S
Suite 150
Richfield, MN 55423-2490
Phone: (612) 869-2118
Fax: (612) 869-2219
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2006-04-13
- Last updated
- 2025-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.